Women's Health Final Exam 205-2026 With A+ Graded Answers
On reviewing the medical history of a pregnant client, the nurse finds that the client is taking
carbamazepine. What consequence of the drug on the fetus should the nurse be aware of?
A.) Pylectasis
B.) Spina bifida
C.) Omphalocele
D.) Lupus erythematosusanswerB
The nurse is caring for a client in the first trimester of pregnancy. The client's laboratory reports indicate
a reduction in the levels of pregnancy-associated placental protein (PAPP-A) and an elevation in the
levels of human chorionic gonadotropin (hCG) and nuchal translucency (NT). Based on these findings,
which condition does the nurse suspect in the fetus?
A.) Spina bifida
B.) Down syndrome
C.) Potter syndrome
D.) Fetal cardiac diseaseanswerB
The nurse is performing a fetal acoustic stimulation test (FAST) in conjunction with a nonstress test. The
nurse observes a nonreactive baseline fetal heart rate (FHR) after 5 minutes. What is the best nursing
intervention in this situation?
A.) Performing the test after an interval of 2 hours
B.) Performing a contraction stress test immediately
C.) Administering 0.5 milliunits/min oxytocin for 20 minutes
D.) Activating a stimulator for 3 seconds on the patient's abdomenanswerD
What diagnostic test would be used by the health care team to detect anencephaly in the fetus?
A.) Amniocentesis
B.) Doppler blood flow analysis
C.) Nonstress test
,D.) Contraction stress testanswerA
In assessing a pregnant client, the nurse is aware of the four high-risk factors when performing a health
history. What are the four categories (select all that apply):
A.) Biophysical
B.) Psychosocial
C.) Geographic
D.) Enviornmental
E.) SociodemographicanswerA, B, D, E
After a woman with blood type Rh negative undergoes amniocentesis, the most appropriate nursing
intervention is to:
A.) Administer RhoD immunoglobulin
B.) Administer anticoagulant
C.) Send the patient for a computed tomography (CT) scan before the procedure
D.) Assure the mother that short-term radiation exposure is not harmful to the fetusanswerA
Nurses should be aware of the strengths and limitations of various biochemical assessments during
pregnancy, including which items?
A.) Chorionic villus sampling (CVS) is becoming more popular because it provides earlier diagnosis
B.) Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended only for women at
risk for neural tube defects
C.) Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen tests for Down Syndrome
D.) Maternal serum alpha-fetoprotein (MSAFP) is a screening tool only; it identified candidates for more
definitive proceduresanswerD
The nurse is supervising a student nurse while performing a nonstress test. Which action of the student
nurse indicates the need for further teaching?
A.) Placing the client in the left side-lying position
B.) Instructing the client to press the handheld marker
C.) Offering glucose water prior to the test
,D.) Applying a tocodynamometer with Doppler transduceranswerA
The nurse sees a primigravida at 30 weeks gestation for the first time. The nurse notes the client has
smoked throughout the pregnancy, and fundal height measurements are suggestive of growth
restriction in the fetus. In addition to ultrasound to measure fetal size, the nurse knows which tool is
useful in confirming this condition?
A.) Doppler blood flow analysis
B.) Contraction stress test (CST)
C.) Amniocentesis
D.) Daily fetal movement countsanswerA
The nurse knows which condition is associated with oligohydramnios?
A.) Fetal hydrops
B.) Potter syndrome
C.) Neural tube defects
D.) Fetal gastrointestinal obstructionanswerB
Which type of ultrasound is the standard medical scan used in pregnancy?
A.) Two-dimensional (2D)
B.) Three-dimensional (3D)
C.) Four-dimensional (4D)
D.) Five-dimensional (5D)answerA
The nurse is reviewing lab values to determine Rh incompatibility between mother and fetus. Which
specific lab result should the nurse assess?
A.) Indirect Coombs test
B.) Hemoglobin level
C.) Human chorionic gonadotropin (hCG) lecel
D.) Maternal serum alpha-fetoprotein (MSAFP)answerA
, While performing a contraction stress test in a pregnant client, the nurse finds that the client has three
uterine contractions in a 10-minute period with no significant variable decelerations. The nurse
communicates the test findings to the primary health care provider, and which instruction would the
nurse expect to receive?
A.) "Repeat the test in the client the next day"
B.) "Administer intravenous fluids to the client"
C.) "Immediately admit the client to the hospital"
D.) "Resume a routine weekly testing schedule for the client"answerD
Which medications can cause neural tube defects in the fetus (select all that apply):
A.) Aspirin
B.) Folic acid supplements
C.) Pyridoxine supplements
D.) Valproic acid
E.) CarbamazepineanswerD, E
After reviewing the medical history and dietary habits of a pregnant client, the nurse suspects that the
client's newborn may have risk of hyperactivity and learning disabilities due to which factors?
A.) The client consumed alcohol during the pregnancy
B.) The client has three pregnancies in two years
C.) The client drinks 6 ounces of coffee daily
D.) The client is on valproic acid therapyanswerA
The nursing instructor is teaching nursing students about the daily fetal movement count. Which
statement by a student indicates a need for further teaching?
A.) "Fetal movements decrease in clients who consume alcohol"
B.) "Fetal movements cannot be detected during the fetus sleep cycle
C.) "Fetal movements cannot be easily detected in obese clients"
D.) "Fetal movements decrease one week before the expected date of delivery"answerD
On reviewing the medical history of a pregnant client, the nurse finds that the client is taking
carbamazepine. What consequence of the drug on the fetus should the nurse be aware of?
A.) Pylectasis
B.) Spina bifida
C.) Omphalocele
D.) Lupus erythematosusanswerB
The nurse is caring for a client in the first trimester of pregnancy. The client's laboratory reports indicate
a reduction in the levels of pregnancy-associated placental protein (PAPP-A) and an elevation in the
levels of human chorionic gonadotropin (hCG) and nuchal translucency (NT). Based on these findings,
which condition does the nurse suspect in the fetus?
A.) Spina bifida
B.) Down syndrome
C.) Potter syndrome
D.) Fetal cardiac diseaseanswerB
The nurse is performing a fetal acoustic stimulation test (FAST) in conjunction with a nonstress test. The
nurse observes a nonreactive baseline fetal heart rate (FHR) after 5 minutes. What is the best nursing
intervention in this situation?
A.) Performing the test after an interval of 2 hours
B.) Performing a contraction stress test immediately
C.) Administering 0.5 milliunits/min oxytocin for 20 minutes
D.) Activating a stimulator for 3 seconds on the patient's abdomenanswerD
What diagnostic test would be used by the health care team to detect anencephaly in the fetus?
A.) Amniocentesis
B.) Doppler blood flow analysis
C.) Nonstress test
,D.) Contraction stress testanswerA
In assessing a pregnant client, the nurse is aware of the four high-risk factors when performing a health
history. What are the four categories (select all that apply):
A.) Biophysical
B.) Psychosocial
C.) Geographic
D.) Enviornmental
E.) SociodemographicanswerA, B, D, E
After a woman with blood type Rh negative undergoes amniocentesis, the most appropriate nursing
intervention is to:
A.) Administer RhoD immunoglobulin
B.) Administer anticoagulant
C.) Send the patient for a computed tomography (CT) scan before the procedure
D.) Assure the mother that short-term radiation exposure is not harmful to the fetusanswerA
Nurses should be aware of the strengths and limitations of various biochemical assessments during
pregnancy, including which items?
A.) Chorionic villus sampling (CVS) is becoming more popular because it provides earlier diagnosis
B.) Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended only for women at
risk for neural tube defects
C.) Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen tests for Down Syndrome
D.) Maternal serum alpha-fetoprotein (MSAFP) is a screening tool only; it identified candidates for more
definitive proceduresanswerD
The nurse is supervising a student nurse while performing a nonstress test. Which action of the student
nurse indicates the need for further teaching?
A.) Placing the client in the left side-lying position
B.) Instructing the client to press the handheld marker
C.) Offering glucose water prior to the test
,D.) Applying a tocodynamometer with Doppler transduceranswerA
The nurse sees a primigravida at 30 weeks gestation for the first time. The nurse notes the client has
smoked throughout the pregnancy, and fundal height measurements are suggestive of growth
restriction in the fetus. In addition to ultrasound to measure fetal size, the nurse knows which tool is
useful in confirming this condition?
A.) Doppler blood flow analysis
B.) Contraction stress test (CST)
C.) Amniocentesis
D.) Daily fetal movement countsanswerA
The nurse knows which condition is associated with oligohydramnios?
A.) Fetal hydrops
B.) Potter syndrome
C.) Neural tube defects
D.) Fetal gastrointestinal obstructionanswerB
Which type of ultrasound is the standard medical scan used in pregnancy?
A.) Two-dimensional (2D)
B.) Three-dimensional (3D)
C.) Four-dimensional (4D)
D.) Five-dimensional (5D)answerA
The nurse is reviewing lab values to determine Rh incompatibility between mother and fetus. Which
specific lab result should the nurse assess?
A.) Indirect Coombs test
B.) Hemoglobin level
C.) Human chorionic gonadotropin (hCG) lecel
D.) Maternal serum alpha-fetoprotein (MSAFP)answerA
, While performing a contraction stress test in a pregnant client, the nurse finds that the client has three
uterine contractions in a 10-minute period with no significant variable decelerations. The nurse
communicates the test findings to the primary health care provider, and which instruction would the
nurse expect to receive?
A.) "Repeat the test in the client the next day"
B.) "Administer intravenous fluids to the client"
C.) "Immediately admit the client to the hospital"
D.) "Resume a routine weekly testing schedule for the client"answerD
Which medications can cause neural tube defects in the fetus (select all that apply):
A.) Aspirin
B.) Folic acid supplements
C.) Pyridoxine supplements
D.) Valproic acid
E.) CarbamazepineanswerD, E
After reviewing the medical history and dietary habits of a pregnant client, the nurse suspects that the
client's newborn may have risk of hyperactivity and learning disabilities due to which factors?
A.) The client consumed alcohol during the pregnancy
B.) The client has three pregnancies in two years
C.) The client drinks 6 ounces of coffee daily
D.) The client is on valproic acid therapyanswerA
The nursing instructor is teaching nursing students about the daily fetal movement count. Which
statement by a student indicates a need for further teaching?
A.) "Fetal movements decrease in clients who consume alcohol"
B.) "Fetal movements cannot be detected during the fetus sleep cycle
C.) "Fetal movements cannot be easily detected in obese clients"
D.) "Fetal movements decrease one week before the expected date of delivery"answerD
